HiI am new here. I am now coping with my Dad.. He has been diagnosed with prostate cancer. Nuclear bone scan shows it has move to the spine pelvic and thoracic. It has not moved to the lymph nodes or any other organs. Dr Rx him Cosadex 50 mg and will see him back on 12/20. I hope and pray my dad who is 72 yrs old live a long time

While that's not good news, it's not horrible. Even with metastatic PC, the HT(ADT) can reduce the PC and give him many more years. When the HT starts to fail there are other chemo treatments that can keep the PC at bay for years.

We have members here who gone, years, decade, are still with us. The treatment will have side effects that might not be pleasant, but he's not dying next week or next year.

Let us know what part of the country your dad is in. We can recommend specialists and centers of excellence nearby. There are a great many cutting-edge treatments being developed for advanced PCa, including clinical trials. Only a medical oncologist who specializes in PCa can be expected to be up on them. The urologist may still be useful to treat urologic symptoms associated with an enlarged prostate, since your dad still has his, but his cancer isn't a urologic problem. Removing his prostate -- the only treatment a urologist, who is trained in surgery, is competent to offer -- won't cure him or do him much good. He needs an oncologist.Age 60 at dx 7/2017 biopsy G8 (4+4), 5/13 coresRARP 8/2017 (Patel), pT3a N0 M0, 30% tumor; EPE+, SV-PSA 1/2016, 2.9; 4/2017, 7.2; 9/2017 (post-RARP), 0.13; 10/2017, <0.05, 1/9/2018, 0.09, 2/23/2018, 0.08.Eligard started 3/2/2018. SRT 72Gy, 40 fractions, finished 5/8/2018PSA 8/2018, <0.02Caution: I’m not an MD and don’t know what I’m talking about.

Casodex is usually given as a prelude to an injection called Lupron that will suppress your Dad's testosterone to castrate levels..This will (hopefully) greatly reduce your dad's cancer but it will also have some profound side-effects as you can imagine.. This is pretty much standard treatment but it would best be managed by a Medical Oncologist as the other guys pointed out..Many Urologists treat prostate cancer, it's very profitable to do so but it's outside the focus of their training..Have your Dad's primary care doctor refer him to an Oncologist., preferably one who treats many PC patients..Age now 75 . Diagnosed G-9 6/2010. RALP, Radiation failed Lupron, Zytiga, PSA <0.1 10/16 no change <0.1 5/17 PSA 1.6 Chemo or Provenge next..Sept '17, PSA now 9.2. ADT including Zytiga has failed. Will investigate treatment options. 11/17 PET/CT clear, but 4 new bone mets..Going to try Xtandi and see how I respond to that..3/2018 PSA now 54, chemo next. 5?10/18, PSA 200, Dosetaxel started..

We have a lot of forum members in South Florida. Hopefully, some of them can recommend particular MOs. Also, your dad's uro may have recommendations. In any event, you have easy access to U Miami's Sylvester Cancer Center, both downtown at Jackson and up in Deerfield Beach. I'm familiar with their PCa radiation oncologists, but not their MOs.

Dad72, very sorry to hear about your dad But as others have said, PROSTATE cancer can be treated for many many years even decades. Prostate cancer for most men once it has Spread to distant sights, becomes a chronic disease, not a death sentence as it was many years ago. While I cannot recommend any specific medical oncologists, down in Miami you have Sylvester Cancer center of University of Miami which I is a recognized cancer center of excellence. You also have Cleveland clinic in Weston, but that is a bit more of a trip. I would suggest you Google Sylvester Cancer Center and take a look at some of the medical oncologist listed there who specializes in prostate cancer. Good luck and keep us postedI am not a doctor, just another guy without a prostateDx Age 64 Nov 2014, PSA 4.3BX 3 of 12 cores positive original pathology G6RALP with Dr Ash Tewari Jan 6, 2015Post surgical pathology G7 (3+4), - ECE, - Margins, -LN, -SV (+ frozen section apex converted to negative)PSA @ 6 weeks 2/15, .<02, remained <0.02 until January 2017, .02, repeat Feb 2017, still .02. May 2017-.033, August 2017- .033 November .046, March 2018 .060. June 2018 .068, July 2018 - .082, August 2018, .078, August 2018 - .08 Decipher test, low risk, .37 scoreMy story.... tinyurl.com/qgyu3xqMy PSA History - /drive.google.com/file/d/1ltbG8x-iyH3k9pEltudhXt9u1krRwJSH/view?usp=sharing

Nice call, Gary. This from his Mt Sinai webpage: “Dr. Pizzolato also has a strong interest in genitourinary cancers and is actively involved with novel therapies for prostate cancer.” From Google hits, looks like he has done a lot of public interest interviews (or promotional pieces, depending on your POV) about Provenge.